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一名偶然发现患有血友病儿童的牙科治疗管理：临床病例报告

Dental Management of a Child with Incidentally Detected Hemophilia: Report of a Clinical Case.

作者信息

Martínez-Rider Ricardo, Garrocho-Rangel Arturo, Márquez-Preciado Raúl, Bolaños-Carmona María Victoria, Islas-Ruiz Socorro, Pozos-Guillén Amaury

机构信息

Pediatric Dentistry Postgraduate Program, Faculty of Dentistry, San Luis Potosi University, 78290 San Luis Potosí, SLP, Mexico.

Facultad de Odontología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain.

出版信息

Case Rep Dent. 2017;2017:7429738. doi: 10.1155/2017/7429738. Epub 2017 May 28.

DOI:10.1155/2017/7429738
PMID:28634557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5467272/
Abstract

Children with hemophilia (A or B) are at risk for bleeding episodes, which rank from mild mucosal/soft tissues bleeding to life-threatening hemorrhages. This report describes the dental/medical management provided to an 8.10-year-old patient suffering from uncontrolled bleeding after a surgical procedure to expose both permanent upper central incisors, in which hemophilia was a pure incidental finding. Additionally, diverse precautions to be considered during the dental clinical treatment of hemophilic children are discussed.

摘要

患有血友病（A 型或 B 型）的儿童有出血发作的风险，出血程度从轻度黏膜/软组织出血到危及生命的大出血不等。本报告描述了为一名 8 岁 10 个月大的患者提供的牙科/医疗管理情况，该患者在进行暴露两颗上颌恒中切牙的手术后出现了无法控制的出血，而血友病只是一个纯粹的偶然发现。此外，还讨论了在血友病儿童牙科临床治疗过程中应考虑的各种预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/373ac3b0935e/CRID2017-7429738.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/4a559638326d/CRID2017-7429738.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/a8955ca09d3d/CRID2017-7429738.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/373ac3b0935e/CRID2017-7429738.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/4a559638326d/CRID2017-7429738.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/bb2cbfa4cac0/CRID2017-7429738.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/4a5b236c2dbc/CRID2017-7429738.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/a8955ca09d3d/CRID2017-7429738.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5323/5467272/373ac3b0935e/CRID2017-7429738.005.jpg

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本文引用的文献

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Hemophilia: What the Oral and Maxillofacial Surgeon Needs to Know.血友病：口腔颌面外科医生需要了解的内容。
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Dental management of a patient with incidentally detected hemophilia: Report of a clinical case.偶然发现的血友病患者的牙科治疗：一例临床病例报告。
J Indian Soc Periodontol. 2019 May-Jun;23(3):281-283. doi: 10.4103/jisp.jisp_461_18.
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Minimizing the Risk of Perioperative Bleeding in a Child with Hemophilia A during Dental Rehabilitation under General Anesthesia: A Case Report.全身麻醉下血友病A患儿口腔修复术中围手术期出血风险的最小化：一例报告
Int J Clin Pediatr Dent. 2013 Sep;6(3):217-22. doi: 10.5005/jp-journals-10005-1223. Epub 2013 Oct 14.
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The use of topical crushed tranexamic acid tablets to control bleeding after dental surgery and from skin ulcers in haemophilia.局部应用氨甲环酸碾碎片控制血友病患者牙科手术后及皮肤溃疡出血
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